Dr Tyrone Wizzard, MD is a
Hospitalist physician based in Fort Pierce, Florida. Dr Tyrone Wizzard is licensed to practice in Florida (license number ME167243) and his current practice location is 1700 S 23rd St, Fort Pierce, Florida. He can be reached at his office (for appointments etc.) via phone at
(772) 461-4000.
NPI number for Dr Tyrone Wizzard is 1942887161 and his current mailing address is 1700 S 23rd St, Fort Pierce, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942887161.
Physician's Profile
| Full Name | Dr Tyrone Wizzard |
|---|
| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 1700 S 23rd St, Fort Pierce, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942887161
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 07/29/2024
Medical Identifiers
Medical identifiers for Dr Tyrone Wizzard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942887161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A189384 (California) | Secondary |
| 208M00000X | Hospitalist | MD500002993 (District Of Columbia) | Secondary |
| 208M00000X | Hospitalist | ME167243 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyrone Wizzard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tyrone Wizzard, MD
1700 S 23rd St,
Fort Pierce, FL 34950-4803
Ph: (772) 461-4000 | Dr Tyrone Wizzard, MD
1700 S 23rd St,
Fort Pierce, FL 34950-4803
Ph: (772) 461-4000 |
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